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Individual

BIEN TRUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1967 PARKER ST, SPRINGFIELD, MA 01128-1225
(413) 883-2926
Mailing address
1967 PARKER ST, SPRINGFIELD, MA 01128-1225
(413) 883-2926

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH232342
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S68895808
DIVER LICENSE
MA
Enumeration date
01/13/2021
Last updated
01/13/2021
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